Marcieyana Cook
Decatur,GA
Summary
Customer-focused specialist with a history of resolving high-volume claims efficiently while maintaining exceptional service standards. Adept at handling escalations, building trust with customers, and driving improvements in service quality and efficiency. Knowledgeable with delievering passionate customer service skills with a solid background in benefits verification, ensuring accuracy and compliance.
Overview
7
7
years of professional experience
Work History
Benefits Verification Specialist
CVS Specialty Pharmacy
10.2021 - Current
- Safeguarded confidential client information by adhering to strict privacy guidelines and protocols.
- Warmly greets and communicate with all patients, insurances companies, and representatives in reference to: health, wellness, prescription plans, and coverage via inbound and outbound calling.
- Achieved faster client response times by promptly addressing inquiries related to benefits eligibility and coverage details.
- Enhanced claim processing efficiency by reviewing and verifying insurance benefits information.
- Accurately processed patients’ prescription claims, coordinating shipments to guarantee proper medication delivery.
Resolution Coordinator
Walmart
11.2020 - 10.2021
- Ensured compliance with federal, state, and local regulations by maintaining accurate records of employee benefits plans.
- Handled escalated customer service inquiries from employees experiencing difficulties navigating their health insurance coverage successfully.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Checked employees' benefits enrollment for accuracy and inputted all data into the data system.
- Utilized program quality guidelines and program resources such as: enrollment in medical, dental, vision, 401K, life insurance, stocks and self-enrollment.
Cashier
Kroger
04.2018 - 11.2020
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
- Assisted customers with returns, refunds and resolving transaction issues.
- Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
- Handled multiple payment methods securely, minimizing discrepancies and potential losses.
Education
Bachelor of Arts - Early Childhood Education
Gordon State College
Barnesville, GA05-2025
Ronald E. McNair High School
Atlanta, GA05-2019
Skills
- Accuracy and precision
- Healthcare regulations
- Microsoft office suite
- Patient information verification
- Policy interpretation
- Verbal and written communication
- Patient Diagnosis
- Time management
- Attention to detail
- Multitasking Abilities
- Reliability
- Data Entry
Timeline
Benefits Verification Specialist
CVS Specialty Pharmacy
10.2021 - Current
Resolution Coordinator
Walmart
11.2020 - 10.2021
Cashier
Kroger
04.2018 - 11.2020
Bachelor of Arts - Early Childhood Education
Gordon State College
Ronald E. McNair High School
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